John "Moe" Moriarty & Robert "Bob Z" Zumbruski Memorial Golf Tournament

Sponsor & Golf Application Form

Yes… We are coming to The Golf Tournament

Monday August 8, 2011

Make checks payable to: LIONS CLUB OF EAST LONGMEADOW 

Sponsor: Tee $50____  Green $50____ Cart $50____

NAME (1) ______________________________________________________________  

ADDRESS ______________________________________________________________

CITY: ____________________________________ STATE: ________  ZIP:__________

TELEPHONE (______)_____________________  NUMBER OF GOLFERS ______

DINNER ONLY ____________ Check Amount ____________  Check # __________

(2)______________________ (3)____________________(4) ____________________  

$100.00 per player - (Dinner Only - $25.00)

Mail to: Lion Dave Martinez, 163 Elm St., East Longmeadow, MA 01028